The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 03-1269 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd See Main File I. While 2_ Pink J. Yellow r;1'ID?J I PERMITNO.t2J_/2htl File City Applicant (Please type or print and si2D at bottom) I ADDRESS /~ff;;5 -r1",.,"rEL C;L€Ji M"* PtLlt/€ ZONING (office use) {JlAD LEGAL DESCRIPTION (office use only) LOT I). BLOCK;2 ADDITION -ri""dE"~ C4.e-j r PIDf15- L/O;J..- D&S-1) OWNER (Name) fvL -rtE 1!<f)I'1€J 8/J- No"t.,rflt;.Err (Phone) aJ'1 A{f,,) -900 5'5/.) { , (Address) P~A<I $'<.II~ filo , , ~4(,..+,.J. ,MN BUILDER (Name) (Contact Name) (Address) I(~e A-J ,4AtLo,J AJ1 /' "T.>O~ ;1,41(. ( (Phone) (Phone) 1oS! - t(S,) - 1,;.00 rol J. - t{CfO - 'fJ..;l e TYPE OF WORK ~ew Construction DLower Level Finish DUeck DPorch ORe-Roofing ORe-Siding o Misc. o Fireplace DAddition OAlteration PROJECTCOST/YALUE (excluding land) $ ;;'tf. bYB / DUtility Connection I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above~mentioned property and that all construction wiH conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may :t~:openy:/2spections BC!. _ /.J 1/ fJ /, JoJ Signature Contractor's License No. Date \ Permit Valuation IQ5'Q60. -- I I Park Support Fee # $ ..,. I Permit Fee $ 7L/8, 7 S- f I SAC # $ 1;}75'.- I Plan Check Fee $ LfR'6, fpq I I Water Meter Size 5/8"; I"; $ ------ I I State Surcharge $ dd- ,SO I I Pressure Reducer $ - I Penalty $ I I City SAC and WAC # $ 1;:)..00 --. \ Plumbing Permit Fee $ ( (1).-- I 1 Water Tower Fee # $ 7Cb'-1 Mechanical Permit Fee $ 106,- I I Builder's Deposit $ Sewer & Water Permit Fee $ I lather $ I I Gas Fireplace Pennit Fee $ <-!O , -- I 1 TOTAL DUE $U~ <;?~.q4 I - This Application Becomes Your Building Permit When Approved I Paid ff, Y7 .f1 ~ I ReceiPio- ~"/7 ~ q~ FI(~/d7 LDate /f 11 ,j By _ / ~ Building Official Date This is to certify that the request in the above application and accompanying documents i!; in accordance with the ~a,.Qr~'Pte IfJ mayllJlroceed ~;;l' This document ~~p~;?~:mpor~c'mfi';f;;;:;m"mdallow"on'trUroo~ BIVlmn=rIlen~ mu<tb, Planning Director Date Special Conditions, Ifany 24 bour uotice for all inspections (952) 447-9850, fax (952) 447.4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 , " .1.~~~ PRIGii', f-.. ~ U rn ;-......~i\, See Main File White - Building Canarv - Fnaineering ,-pink - ~!~~~j~o~ rh~ Crnlrrof thr I..heoooll'} BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / ,~-:' ,I -(- '. '. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ///""-:,,,. .-i (-/ ) .' , ,1 Accepted ~ Accepted With Corrections Denied ~ , . Reviewed By: ~. :::;~ Date: J>:/tS;b3 ~I " Comments: . .~ I "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." See Main File White - Building ~rv - .:nalneerliR!> Pink - - Planning Thr ("..nlrr of lht t.h ('ounll1' aUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,-1.' /1 1;. .1.'_ 1, '.' . ,. .....r~,__,t ..'.1/ APPLICATION RECEIVED /-1- '-' . " '~., The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . //-/:'7 S- / --i- I Accepted ^ Accepted With Corrections Denied ~. Date: ~h {O'\ Reviewed By: Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." "-_._------,------,---_._~------_.._'-"'_.- - - - -"_.__..~._-"-_...__.__.-_.- ~t See Main File Thr C.nlrr or Ih. 1..k.. Countf)" G!lfilte - Bui~ Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED rfJ~_ ~-I- (?,3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at:/7 /lneJa-S-/ "/~~ ~+ /' Accepted With Corrections Accepted Denied Reviewed By: ~ r- '7~ Date: gf/5"/o 3 Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ,...;~...., ~ ," .....1' ,,-~. I ".' \.. (: .. I \ ;:: .,._L-.":, ,~. ~~?;;;:;/ en\' OF Pr:;10R LAI-.J.: PU::.rE,:'o'G PE:R.."[IT :"'I~~,: ~. '::".~r.:: -:~;. "~ ~-:':.: :..,,:,; ::~C': I: '-'''H':::r-:, f'.;;O~!ZSS / .- f /. .<1.(' I If I ~,_J' ",-P~' 1;/rl)f'r' /;, fl.! /) f' I.or Le:6-Al, Olrsc(U'p-r)CUJ",,;;:, ;:: 'e,.') 8uJCK:- AOrI mt2j.;) /}rMII;:R.- ~/ (,IV' ,~ 7 (/ I~ r AaIJ-/tJ S P-FPl.I'C,!l.LI, r~ ) I:~/ .~'() IVMI'.v ! ~ ! 1 ail... //7) i ,l /l f,~l /Ju(/ ! YU/lU/ /-1;/1 (A~I . _ {f :.1 ' (t.ctrM!t:J'JtYJ ,.i,,_U1.tf~ :. /1, J,' . APfue.AfI-r!j({)~A1",.ltE- f...::f1.d.d:Lt..... t1/LJ.d.!,A~ - . ----.- " r) IJ:';'.;'1 r:c:: ). / I --' / / i--;- ) L -~. , Jr.... :..., '..;'" ,~,hU'" PE~rf1l6.3-!i2[ -'t.o uFi!56'--::-- .,::.... - ......, ',."..- --- -"-- .:!~ -- -.-- t/!1l-JJ"~ - _0___- j!halle}. fl5/'t/~rJ / oJ,../~</1 \;/1./.;'- .};,41 ,~.;,.JU(A- , ~ . LZipc~1 ,M/$cilli) tJQ. 4'a,;1'1J~f ~...1'~ .....Q'/JJlltJI1S , ~ AP?lfCAlVT PLEASE CDMPLETE BELOW T :,p~ ,)t' fi."C-:urc '::J:':: Tu.b I.V!{:1 \Jr ""'1::\01.;( ..i,'~I,"'\:;a OISn\'...::t.:iM.;:", r ~\"':l.lr OrJ.lli r l.!'i:lC,:r-.' (~a!:'h:"'C,:r:: :ill":!>.:} l L:lur1~,;" rr:::~ II (jr: "'::;~C:.1r:::-:I:;:lt :.i:lr.:..; I Snow~~ SC::IJ I Sinks I Bar Sink I W::ce:r Close: CT ~d~:1 QIJ:.:ncrc"" .:J . I { I T"p< nc' fi_~:~c" I R..Ju:;:1-,ns i "'..r~.. !-:=~c~r I \'vic~;' ::i"f=,c:- I Sc;r.~ P:~~ (....\,'~~l~'..:: .\I:1C:~l:":::: ~ i ::iC:'.\I.:1g.o: Ej~'::Jr I B.><:krlow A.'i:;~mclv I Bac:kl:low A<sembly T ~S, , L.:1wn Sarinlder ,Oth.:: --~ EJ:::.r.::.;:t~~ Gus:: :; !'LUMl3fNG PER..\.UT feE S STATE SURCHARGE S TOTAL PER.;'dIT ITE S (omr.:~ t,;JC On(y) ,ai. ^pplic~,cion B~coll'\" Your Buildin;: Pennie Wben Approvcd -- Bwildin( Onid:at D:art: : --- FEE. SCti.EDr.;U r'~Ctt':':::~;:1. CQI'r.r.:~;J.! J:. :~..!uJti"'(~ily [!., at" joi:.1 ~:$C wic.'t. . S~9.jO mir1irn:IJ:~ 80/1'0'd I, P~d I Qa~ ('0- ^ " . .,.. 'l. i li Q "ao:> -'" !1I'l.lr n~ICIC= [ur ~1I UUp<CCtlQn.s \?::) 04-L";"'''9:f;:P~ (~.t: (iJS:t+r:";-'I tf~ RdidClC:sJ. Ne-N One .Ie Two..F:1.r:1l1y Sifg.50 R.:s:c~::t::U. .~~CJ:::cru J:. .~1::::.::~n~ S~<;.iO e.L:iii.!i~; P:~it # .50 s/. /:) ~() ='1k;l ~t? ~h ,.~"> ~1't~-- I a<:<:.:pc t'Q, \, /' __ 18Y (/ /" , I v ------ .',-" -.~..:,:.::.., :11.41 OJ'Jf~ 1 ElWnldA3lltl(1 0c:01 E00c-0E-d3S 1- 2 _ 3. 4 . ~. 5. 6. '- GllIEE. . fill YElLOW. APPLlC."T GOLD. cny FAt< CITY OF PRIOR LAKE SEWER AND WATER PERMIT Cf5).- Iff 7-' '/-;., 'I~ '3 - I de., q S.W.No. NOTE: Sewer and Water contractors must be registered with the City. APPLICANT:~rrw~ (;EIJE.@...PL S~PHONE7],3-4~&'-a..fIJ'.3f/ ADDRESS: 5"!f;..J:rAm AVtf - ~Jf DATE: Allf, 1 3 70n.3 '--rf-'~D 5'T: m ICH'" cl.)"'")fttJ. $'1> ~"I1; SIGNATURE: /1\r~ BLDG. PERMIT # SITE ADDRES;- /~t;;d..5 C:;;JLVlC.U.o:;/-:~~ PID# FILL IN THE BLANKS Estimated length of water service ~" Size of water service--1" inch(es). Location of any couplings from structure () Type of sewer pipe. ABS PVC~ cast Iron Estimated length of sewer line---.S....... feet. feet. feet. Clean out structure. (if from required), located NJA feet at ====~==;========~:====================:=======================~=== This application becomes your permit when approved. BY DATE: ========ib~7Te:r=~~;4============================================= FEES: j] /,1 P . Sewer and water line connection permit. ~=-. Surcharge r? 0 ree TOTAL * Fee fO~ either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no dU~licate sewer and water permits are issued. OCTO 3 2003 DATE PAID AMOUNT PAID 13[ /.'1.. ,0"l/{) IA.. 71'., .v,.... ( -.'"..'. ',1- t ~J,\ '"1 ,) , -':::;'Y"." \ JV'i?- \!{ I ___ ____u _ j RECEIPT fi REC'D BY 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (~5"2) 447-4230/ FAX (!f!t2) 447-4245 An Eaaal Oooortuuilv Emplover l.'d 8962-82v-1:91. S3~I^~3S 1~~3~3n 0~13W ~82:01 1:0 01: daS ;952 894 0925 # 3/ 8 11-17-03; 3:34PM; . CITY OF PRIOR LAKE HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd ;=.. ~!~ /PERMITNO.3_/;}C,WI J, Ydlow AppllQII! f . cr1ease'!vpe or Print and sip at bottom) ADDRESS / . I ht7,~0 I J'N)hW CiuA-- fJ-r: ZONING (om", we) \j ':>! [;j ~ I , LOT BLOCK LEGAL DESCRIPTION (office we only) ADDITION Pill OWNER (Name) (Address) 'il S Pul it J.kj'{'I\-L~ tJJ) (phone) &51- L(5) - 5,;;2ro fM1(W1. ft.1 N. ~'7/;;; I v :iLi Bumsvllle Heating & AlC, LLC l;l.~Ol t(noae 1;:);d~jU H~~. ';u. SlIvlIse, MN 55378-1122 (Address) ~ \A...\..-\ <L APPLICANT SIGNATURE ~~~.'-.\i, ~. ~A.-\ l~DATE I \ ( 17 I D< . '-kPLlCANT P~EASE COMPLETE BELOW ~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS ./ FURNACE MAKE AND MODEL letlfl.()Y (; '5 i (Y) (.- d.4 (] - oL{C) FUEL /\ h~ orl S FLUE SIZE RETURN OPENINGS INPUT U7" (J1jD OUTPUT !lL-L/-t51'J APPLICANT (Name) (Address) (Contact Person) fMY Si J-i-k (c(O (phone) ,~!- ':tt (phone) (City) (Zip Code) tJ5z - r;:;:r tj - OVV C; I :11 ,.,.,.\ TYPE OF SYSTEM DWann Air Plants DGravity o Mechanical DAir Conditioning OVent. System HEATING OR POWER PLANT o Steam . o Hnt Water o Radiation o Special Devices o Other Devit:cs ":..! I PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace: 539.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Industrial, Commercial & Multi-Family $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 (Office Use Only) This Application Becomes Your Building Permit When Approved Building Offic.ial Estimated Cost $ If 00 '1.00D. , PAID WITh Building Permit # HEATINGPE~TFEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ /1) M .50 . , ~U~~'.'Y~~G Pd, '8~ b~W Receipt No. :')'=".:'~ ~r"'II'" Date I Paid I Date NOV 2 6 Z003 By - fA- u 24 hour notice for all inspections (952) 447-9850, fax (952) 4474245 16200 Eagle Creek Avenue, Prioe Lake, MN 55372 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd i ~~w ~l~icanl I PERMIT NO.3 -/;rIP 7 I q>>lease troe or orint and sip at bottom) ADDRESS ZUJ.lrllllrlG (office use) 16525 TlMBERCREST DRIVE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PlD OWNER (Name PULTE HOMFS (Phone) (Address) APPLICANT (Name) ATJJRD FIRESTDE ORA FTRRSTnR HEARTH &. HOMP (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (AddIess) ROSEVILLE (City) 55113_ (Zip Code) (Contact Person) BRENDA HUSTON (Phone) _651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 11/24/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants OGravity o Mechanical DAir Conditioning OVen!. System o Steam o Hot Water D Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks . FIREPLACE MAKE AND MODEL HEAT N GLO SL-550TRN-C Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 PAID WITH BuiLDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Buildine: Official Date I Paid I Date NOV 2 6 2003 Receipt No. By ro 24 hour notice for all inspections (952) 447-98S0, fax (952) 447-4245 L_^__..__._ PRIOR LAKE INSP,ECTION RECORD . r..4..t~ ~+ D.,. DEPARTMENT OFSee Main File BUILDING AND INSPECTION SITE ADDRESS '-kS.-.s- NATURE OF WORK )J~tA;) USE OF BUILDING ~ ~ . PERMIT NO. O~ - ~~" 'i DATE ISSUED ,,~ CONTRACTOR YIA-I~ . PHO~J.2-l/4O-~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , FOOTING v\la;.. I , FOUNDATION (Prior to Backfill) tMa." I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST w.~:" JM/ j/l/'lP /1-1-03 / t -II-Cf"? j./tT ./~ j/l/r - /k-q-t/3 f}./1- r'7 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS <-)e e.. . ,/H4r;' ~ h 4>~ / ~/Oy' GRADING (Prior to Sodding) BUILDING rr w.O 4---/..0'1 ELECTRICAL PLUMBING HEATING DO NOT ...... j/VY./ /// /J'p OCCUpy UNTIL ABOVE HAS BEEN NOTICE 1- J.. t- {}C( / -1- 7-d'-( SIGNED This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 d:# TIME , / /b S2S- -;t';# &or- c<,.s-;L ~...-- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION -o-1'INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: - r":)? - /...26"9 o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RJ o FIREPLACE FINAL o GASLlNE AIR TST o ~ / /?/ ( ~/6..s-e "'--- ---------- "" N~ ,) -------- ~ ~RK SATISFACTORY, PROCEED '0 CORRECT ACTION AND PROCEED a CORRECT WORK, c;~~'R REINSPECTION BEFORE COVERING Inspector: /f~ Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_ ,"SNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY! ,?-I2Cf BIJRNSV.LLE Heating & Air Conditioning, L.L.c. 12481 Rhode Island Av€ S, Savage, MN 55378.951-894-0005 - Orstat Test Report for Job/') 7"1 ':., Address It()-:j ~ 5" --r.-",b",- Occupant Dale of Ins13l1 Type of HT. F/A ~W Other Make Model Serial Input Pilot Type Pressure Input CFH S1aCkTemp Date Tested Company Technician (;y~ J, CityE;n\' ~ Space HT UnitHT L I') """~' l(' . ('..., <;;/ (r. P - .J.'---I v'' ~ i--')IJ ~00 L ;:;)()~S-~",) (.jJ 0<>0 , HOT SURFACE IGNITOR ~. c- C02 '-/1./ 02 9'2. v CO L/?j" r-. ", "j ,.-<. v /_;? I { ,"j1'- dJ~J/lL/ Bu,l;S0LLE HEATING & AIR CONDITIONING ~.'d:..Y' -' DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 1(; ~LC:- SCHEDULED -! ~)..'? -cJ<.( q-;iN\ t.....//"/vdY OWNER CONTR. PHONE NO. PERMIT NO. ]-/12.(p &( o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP , PLUMBING FINAL ib MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: r!) yC/M(Jk - rmJ{-c4ZJ. o WORK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED o CORRECT ~~R:~ FOR REINSPECTION BEFORE COVERING Inspector. f VI Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY! U<SNO" SCHEDULED )l::: j!.-()(( 1'( ~ 0<rt" ---d- CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS IG f'J-S- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~::"TION o SITE INSPECTION o PLUMBING RI o MI:CH RI o WATI:R HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: (i) "r('~ (;) --hM./ "'CD sad d,-, /I do t \ . ...-.d. .,aa~.. / . .../-- 'T~s i2v-- DATE TIME ""3 -/i--C q o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o cl"{h"I4-/?~~ J o WORK SATISFACTORY, PROCI:ED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspedor: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ms,,",., CODE REQUIREMENTS ARE FOR YOUR PElISONAL HEALTH & SAFETY!